The Pakistan Early Childhood Development Scale Up Trial (PEDS)
Recruitment status was Recruiting
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Purpose
The purpose of this study if to evaluate whether the integration of an early child stimulation and care for development package, alone or in combination with nutrition interventions, within a primary healthcare programme has beneficial outcomes for children up to 24 months of age in terms of motor, cognitive, communication and social functions in rural Pakistan.
| Condition | Intervention | Phase |
|---|---|---|
|
Growth & Development |
Behavioral: Health Education Behavioral: Early Child Development Behavioral: Enhanced Nutrition Education |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Phase 1 Study on the Integration of Early Childhood Interventions in a Primary Care Health Service in Sindh, Pakistan |
- Early Child Development (Cognitive function, Fine and Gross Motor Skills, Communication and Language Skills, Social and Emotional behaviours) and Growth. [ Time Frame: 24 Months ] [ Designated as safety issue: No ]
- Maternal knowledge and Practices for Care for Development [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Maternal depressive symptoms [ Time Frame: 24 months ] [ Designated as safety issue: No ]
- Child Anaemia Prevalence [ Time Frame: 24 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1500 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
Standard community health worker support: Routine services for infants and young children delivered by the Lady Health Workers of the National Programme for Family Planning and Primary Healthcare
|
Behavioral: Health Education
Health Education on Hygiene, Primary Health Care.
|
|
Experimental: B
Standard community health worker support with early child development (stimulation and care for development)
|
Behavioral: Early Child Development
Responsive parenting education, responsive feeding, psychosocial stimulation activities.
|
|
Experimental: C
standard community health worker support with enhanced nutrition (education and Sprinkles)
|
Behavioral: Enhanced Nutrition Education
Nutrition messages for pregnant women, newborns and infants and delivery of Sprinkles for Infants 6-24months
|
|
Experimental: D
Standard community health worker support with early childhood development and enhanced nutrition packages
|
Behavioral: Early Child Development
Responsive parenting education, responsive feeding, psychosocial stimulation activities.
Behavioral: Enhanced Nutrition Education
Nutrition messages for pregnant women, newborns and infants and delivery of Sprinkles for Infants 6-24months
|
Detailed Description:
In Pakistan, the "National Program for Family Planning and Primary Healthcare" delivers maternal and child health and nutrition services in rural and remote areas of Pakistan through community-based Lady Health Workers. The strengths of the programme include provision of services at grassroot levels, reinforcement of health messages and community acceptability. Given, the growing recognition that optimal early child development (ECD) also requires the integration of psychosocial care; the PEDS-Trial has been proposed to evaluate the benefits of stimulation interventions and the feasibility of scaling up an ECD strategy within the primary healthcare system of Pakistan.
Eligibility| Ages Eligible for Study: | up to 24 Months |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- All children born in the defined geographical area of study during the study enrollment period will be eligible for the study along with their primary care giver (mother)
Exclusion Criteria:
- Children born with profound severe disabilities
Contacts and Locations| Contact: Mir MK Khan, MBA | +92 21 34930051 ext 4385 | asghar.ali@aku.edu |
| Contact: Aisha K Yousafzai, PhD. | +92 21 3486 4733 | aisha.yousafzai@aku.edu |
| Pakistan | |
| Project Office, Dept of Paediatrics and Child Health, AKU | Recruiting |
| Naushero, Sindh, Pakistan, 75300 | |
| Contact: Mir MK Khan, MBA +92 21 4930051 ext 4385 asghar.ali@aku.edu | |
| Principal Investigator: Aisha K Yousafzai, PhD | |
| Study Chair: | Zulfiqar A Bhutta, MBBS, PhD | The Aga Khan University |
| Principal Investigator: | Aisha K Yousafzai, PhD | Aga Khan University |
More Information
No publications provided
| Responsible Party: | Dr Zulfiqar A Bhutta, The Aga Khan University |
| ClinicalTrials.gov Identifier: | NCT00715936 History of Changes |
| Other Study ID Numbers: | 993-PEDS/ERC-08 |
| Study First Received: | July 14, 2008 |
| Last Updated: | July 6, 2011 |
| Health Authority: | Pakistan: Ministry of Health |
Keywords provided by Aga Khan University:
|
Early childhood development Psychosocial stimulation Care for child development |
ClinicalTrials.gov processed this record on May 19, 2013